摘要
[目的]观察针刺与推拿联合氟桂利嗪防治偏头疼疗效。[方法]使用随机平行对照方法,将60例住院及门诊患者按就诊顺序号简单随机分两组。对照组30例氟桂利嗪,5mg/次,2次/d。治疗组30例针刺(风池、合谷、丝竹空透率谷、颔厌透曲鬓等),平补平泻,留针30min,2次/周,8次后1次/周,1疗程12次;头部按摩,仰卧位,头部分七条线,印堂至风府、双攒竹至天柱、双鱼腰至风池、双丝竹空至完骨,施术者两手指指腹顺七条线击、点、按、揉等,稳健轻柔,有节律感缓慢按摩10min/次,1次/d。连续治疗8周为1疗程。观测临床症状、头疼综合评分、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈18例,显效7例,有效3例,无效2例,总有效率93.33%;对照组痊愈6例,显效1例,有效13例,无效10例,总有效率66.67%;治疗组疗效优于对照组(P<0.01)。头疼综合评分治疗组优于对照组(P<0.05,P<0.01)。[结论]针刺与推拿联合盐酸氟桂利嗪防治偏头疼,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the efficacy of acupuncture and massage combined with flunarizine in the treatment of migraine headache. [Method] Randomized parallel control method was used to randomly divide 60 inpatients and outpatients into two groups according to the visiting order number. The control group of 30 cases of flunarizine, 5 mg/times, 2 times/d. In the treatment group, 30 cases of acupuncture （Fengchi, Hegu, Sizhu emptying rate valley, Quyelop, Qufu, etc.） were used to make up for diarrhea. The needle was kept for 30 minutes, 2 times a week, 8 times after a week, and 1 course of treatment 12 Times; head massage, supine position, the first part of the seven lines, Yintang to Fengfu, double bamboo to Tianzhu, Pisces waist to the wind pool, double wire empty to the end of the bone, Shizhe two finger pulp along the seven line strike, point, press, knead, etc., steady and gentle, slow rhythm massage 10 min/time, 1 time/d. Continuous treatment for 8 weeks is a course of treatment. Observe clinical symptoms, comprehensive headache scores, and adverse reactions. Treatment 1 course of treatment, determine the efficacy. [Results] In the treatment group, 18 cases were cured, 7 cases were markedly effective, 3 cases were effective, 2 cases were ineffective, and the total effective rate was 93.33%. The control group was cured in 6 cases, markedly in 1 case, effective in 13 cases, invalid in 10 cases, and the total effective rate was 66.67%. The treatment group was superior to the control group （P〈0.01）. Headache comprehensive score in the treatment group was better than that in the control group （P〈0.05, P〈0.01）. [Conclusion] Acupuncture combined with massage combined flunarizine hydrochloride to prevent migraine headaches with satisfactory curative effect and no serious adverse reactions. It is worth promoting.
作者
刘晓婉
LIU Xiaowan(Department of Massage,Shangqiu Traditional Chinese Medicine Hospital,Shangqiu 476000,Henan,Chin)
出处
《实用中医内科杂志》
2018年第4期37-39,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
偏头疼
针刺
透刺
推拿
氟桂利嗪
头疼综合评分
中西医结合治疗
随机平行对照研究
migraine
acupuncture
penetrating
massage
flunarizine
headache comprehensive score
integrated traditional Chinese and western medicine treatment
randomized parallel controlled study
